ELLEN O MCGUIRE
NPI 1013472422
Physician Assistant in Troy, MI

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-4866(248) 964-4848 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2022, Feb 11, 2019 (2 updates tracked since 2019).

About Ellen O Mcguire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN O MCGUIRE (NPI 1013472422) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601009003) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013472422
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN O MCGUIRE
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1861 · Fax (947) 522-0307
Fax(248) 964-4848
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 11, 2019
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1013472422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601009003
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
44201 DEQUINDRE RD, Troy, MI 48085

Other Names 1

Former Name (1)Ellen O Martines Pa

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen O Mcguire is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527306349
PECOS Enrollment IDI20190220001577
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Family)
44201 DEQUINDRE RD
TROY, MI 48085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Mcguire's NPI number?

The NPI number for Ellen Mcguire is 1013472422. It was assigned to this individual provider in the NPPES registry on February 11, 2019. The provider is also known as Ellen O Martines PA.

Where is Ellen Mcguire located?

Ellen Mcguire practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-4866.

What is Ellen Mcguire's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellen Mcguire enrolled in Medicare?

Yes. Ellen Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Ellen Mcguire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ellen Mcguire affiliated with any hospitals?

According to CMS data, Ellen Mcguire is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Ellen Mcguire was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.